VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Deneen Kelly
5507 Troy Road
Richmond, VA 23224
(804) 233-5333

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: April 8, 2024

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code; storage of firearms 63.2 Child abuse and neglect 8VAC20-770 Background Checks 8VAC20-790 Introduction 8VAC20-790 Administration 8VAC20-790 General Qualifications 8VAC20-790 Building or Home Maintenance 8VAC20-790 Supervision and Ratio Requirements 8VAC20-790 Programs 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services

Technical Assistance:

n/a

Comments:

An unannounced subsidy health and safety inspection (SHSI) was conducted on Monday, April 8, 2024. The inspector was on site from approximately 9:40am until 11:00am. There were two non-resident children present during the inspection. During the inspection, the children were observed having a snack, watching television, playing together, and having positive interactions with the provider. The inspector reviewed compliance in the areas of administration, physical plant, supervision, and programming. A total of four children's records and one caregiver's records were reviewed. A monitoring inspection was also conducted on this date. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-250-F
Description:	Based on a review of one caregiver's records and interview, the vendor did not ensure to annually attend at least 16 hours of training, to include the department's health and safety update course. Evidence: The record of Caregiver #1 contained 8.5 hours of annual training from 4/2023 through 3/2024. The record did not contain documentation of the department's health and safety update course. During interview, Caregiver #1 reported the training has not been completed to date and the remining hours of annual training could not be located.
Plan of Correction:	The provider will complete the required training.
Standard #:	8VAC20-790-420-A
Description:	Based on documentation reviewed, the vendor did not ensure the written emergency preparedness plan addressed all the required procedures. Evidence: The written emergency preparedness plan provided did not address the caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures. The plan shall address the most likely to occur emergency scenarios, including fire, severe storms, flooding, tornadoes, loss of utilities, earthquakes, intruders, violence on or near the premises, chemical spills, and facility damage or other situations that may require evacuation, lockdown, or shelter-in-place.
Plan of Correction:	The emergency preparedness plan will be reviewed and missing components added.
Standard #:	8VAC20-790-430-A-2
Description:	Based on documentation reviewed, the vendor did not ensure shelter-in-place procedures shall be practiced twice a year. Evidence: The emergency response drills for 2023 for reviewed. The record did not contain documentation that the shelter-in-place procedures were practiced twice a year. During interview, Caregiver #1 was unable to confirm if the shelter-in-place procedures were practiced.
Plan of Correction:	The procedures will be practiced twice per year as required.
Standard #:	8VAC20-790-430-A-3
Description:	Based on documentation reviewed, the vendor did not ensure lockdown procedures shall be practiced at least annually. Evidence: The emergency response drills for 2023 for reviewed. The record did not contain documentation that lockdown procedures were practiced at least annually. During interview, Caregiver #1 was unable to confirm if the lockdown procedures were practiced.
Plan of Correction:	The lockdown procedures will be practiced at least annually.